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FNP 1 - WOMEN'S HEALTH EXAM 2024/2025
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FNP 1 - WOMEN'S HEALTH EXAM 2024/2025
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FNP 1 - WOMEN'S HEALTH EXAM2024/2025
Menstruating woman with bleeding and pain. Order this. - Precise Answer
✔✔HCG - pregnancy
1st line diagnostic study for abnormal uterine bleeding - Precise Answer
✔✔TVUS
How long do you wait for follow-up after starting OCP? - Precise Answer ✔✔21
days to evaluate efficacy
Stimulates the growth of endometrium - Precise Answer ✔✔estrogen
A differential for dysfunctional uterine bleeding that causes abdominal pain -
Precise Answer ✔✔Ectopic pregnancy
Women over 35 with dysfunctional uterine bleeding should be evaluated for -
Precise Answer ✔✔cervical/ uterine cancer
Failure to menstruate by age 14 with no secondary sex characteristics - Precise
Answer ✔✔primary amenorrhea
Failure to menstruate by age 16 with secondary sex characteristics - Precise
Answer ✔✔primary amenorrhea
,absence of menstruation for 3+ consecutive months in women who have achieved
menarche - Precise Answer ✔✔secondary amenorrhea
Withdrawal bleeding after a progesterone challenge test indicates what? - Precise
Answer ✔✔enough estrogen being made and amenorrhea NOT due to lack of
ovulation
Treatment for primary amenorrhea - Precise Answer ✔✔estrogen to develop sex
characteristics
Treatment for secondary amenorrhea - Precise Answer ✔✔oral contraceptives,
progesterone or surgical intervention for endometrial scarring
What phase of the menstrual cycle does PMS occur? - Precise Answer ✔✔Luteal
(2nd) phase
What is the first line treatment for PMS? - Precise Answer ✔✔Lifestyle changes
Medications used for PMS include: - Precise Answer ✔✔SSRI - psychological
symptoms
Danazol - induce ovarian suppression
Spironolactone - fluid retention
NSAIDS - physical symptoms
Menstrual tissue backs up through fallopian tubes and implants in the abdomen
then proliferates - Precise Answer ✔✔Endometriosis
, Clinical presentation includes recurrent abdominal / pelvic pain, dysmenorrhea,
dyspareunia and pain with urination or defecation - Precise Answer
✔✔Endometriosis
Sudden abdominal pain could mean one of these 4 things: - Precise Answer
✔✔Ectopic pregnancy
PID
Ruptured cyst/ endometrioma
Neoplasm
1st line therapy for endometriosis - Precise Answer ✔✔COC and NSAIDS
Progesterone/ Estrogen alone inhibits endometrial tissue growth - Precise Answer
✔✔Progesterone
All sexually active patients with dysmenorrhea and endometriosis suspected get
this.... - Precise Answer ✔✔Pelvic exam
1st line therapy for dysmenorrhea - Precise Answer ✔✔NSAIDS
If the diagnosis is PRIMARY dysmenorrhea, the exam and pelvic will always be
normal/ abnormal. - Precise Answer ✔✔Normal
Dysmenorrhea (primary) is caused by prostaglandins that do what? - Precise
Answer ✔✔Cause contraction of the uterine muscles which leads to cramps and
pain
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